The Sports Rehabilitation Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THE SPORTS REHABILITATION CENTER

Practice address

555 10TH Street NW
Atlanta, GA 30318-5713

Phone

(404) 477-8888

Fax

(404) 477-8889

NPI assigned

Nov 2, 2006

Last updated

Mar 11, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Destiny Carr

Title

Office Manager

Phone

(404) 477-8888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra Lain, DPT

  • Sports Physical Therapist
  • Atlanta, GA
  • NPI 1518731256
  Medicare reassignment Care Compare group NPD
• Christine Ann Olson, MS PT

  • Physical Therapist
  • Atlanta, GA
  • NPI 1467530691
  Medicare reassignment Care Compare group NPD
• Andres F Rosero Ramos, PT, DPT

  • Physical Therapist
  • Atlanta, GA
  • NPI 1033950043
  Medicare reassignment Care Compare group NPD
• Brian Jeffrey Tovin, DPT, SCS, ATC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1649280801
  Medicare reassignment Care Compare group NPD
• Lori Tran, DPT

  • Physical Therapist
  • Chamblee, GA
  • NPI 1093453409
  Medicare reassignment Care Compare group NPD
• Heather Jane Yandziak, DPT

  • Physical Therapist
  • Morehead City, NC
  • NPI 1669737151

  GA

  Medicare reassignment Care Compare group NPD
• Reema Gandhi

  • Orthopedic Physical Therapist
  • Atlanta, GA
  • NPI 1528814852
  Medicare reassignment Care Compare group
• Garrett M Burr, DPT, PT

  • Physical Therapist
  • Loganville, GA
  • NPI 1114694155
  Medicare reassignment NPD
• Jackson James Cervi

  • Physical Therapist
  • Atlanta, GA
  • NPI 1013527811
  Medicare reassignment NPD
• Erica Carey Dekle, PT, DPT

  • Physical Therapist
  • Brookhaven, GA
  • NPI 1427797232
  Medicare reassignment NPD
• Shelley Smith Dicecco, MSPT

  • Physical Therapist
  • Brookhaven, GA
  • NPI 1801834163
  Medicare reassignment NPD
• Renee Lynn Doddington, DPT

  • Physical Therapist
  • Atlanta, GA
  • NPI 1982855607
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1154409381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 10TH STREET NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185713",
            "telephone_number": "404-477-8888",
            "fax_number": "404-477-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 10TH STREET NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185713",
            "telephone_number": "404-477-8888",
            "fax_number": "404-477-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPORTS REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-477-8888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Tender Touch (Nancy Wells)

• Physical Therapy Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.